| NPI | 1477026672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH 6512644) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1801409-TRNE) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2023-12-05 |